首页|非哺乳期乳腺炎的磁共振影像学表现及其诊断价值

非哺乳期乳腺炎的磁共振影像学表现及其诊断价值

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目的 探讨磁共振(MRI)鉴别诊断非哺乳期乳腺炎(NPM)的临床价值.方法 对我院收治的NPM病人57例、乳癌病人31例的术前MRI资料进行回顾性分析,计算MRI诊断NPM的价值指标.结果 NPM组和乳癌组的病灶直径、T1WI信号强度差异无统计学意义(P>0.05);NPM组和乳癌组T2 WI信号强度、病灶周围水肿发生率、强化方式、动态增强曲线分布、表观弥散系数差异有统计学意义(x2=3.809~12.196,P<0.05);MRI诊断NPM的灵敏度为84.21%,特异度为67.74%,漏诊率为15.79%,误诊率为32.26%,与病理学诊断的符合率为78.41%.结论 MRI鉴别诊断NPM具有较高的灵敏度,但是特异度不高,临床上应结合其他检查进行综合判断.
MAGNETIC RESONANCE IMAGING FINDINGS OF NON-PUERPERAL MASTITIS AND ITS DIAGNOSTIC VALUE
Objective To investigate the clinical value of magnetic resonance imaging (MRI) in the differential diagnosis of non-puerperal mastitis (NPM).Methods A retrospective analysis was performed for the preoperative MRI data of 57 patients with NPM and 31 with breast cancer who were admitted to our hospital,and the value indices of MRI in the diagnosis of NPM were calculated.Results There were no significant differences in lesion diameter and T1WI signal intensity between the NPM group and the breast cancer group (P>0.05),while there were significant differences between the two groups in T2WI signal intensity,incidence of edema around lesions,enhancement pattern,distribution of dynamic enhancement curve,and apparent diffusion coefficient (x2 =3.809 12.196,P <0.05).MRI had a sensitivity of 84.21%,a specificity of 67.74%,a missed diagnosis rate of 15.79 %,and a misdiagnosis rate of 32.26% in the diagnosis of NPM,as well as a coincidence rate of 78.41% with pathological diagnosis.Conclusion MRI has a high sensitivity and a relatively low specificity in the differential diagnosis of NPM,and it should be combined with other examinations in clinical practice to make a comprehensive diagnosis.

magnetic resonance imagingdiagnosis, differentialmastitisbreast neoplasms

王艳、田荣华

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武汉科技大学附属孝感医院磁共振室,湖北孝感432000

磁共振成像 诊断,鉴别 乳腺炎 乳房肿瘤

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(4)
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